Doctor Name: | MS. JAMIE CHYAT |
NPI Number: | 1013376730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 680 Centre St Brockton, MA - 023023308 |
Business Phone Number: | 5089417000 |
Business Fax Number: | |
Mailing Address: | 680 Centre St, BROCKTON |
State: | MA |
Postal Code: | 023023308 |
Phone Number: | 5089417000 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |